Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. Deuterium, a stable isotope of hydrogen, has a nucleus containing:

• A. A single proton
• B. A proton and a neutron
• C. Two protons and an electron
• D. Two neutrons

Correct answer: B

Rationale: The correct answer is B: 'A proton and a neutron.' Deuterium is an isotope of hydrogen with an atomic number of 1, meaning it has 1 proton in its nucleus. However, deuterium also has a neutron in its nucleus, making it different from regular hydrogen which only has a proton in its nucleus. Therefore, deuterium has a nucleus containing both a proton and a neutron, making option B the correct choice.

3. The involuntary, rhythmic contractions of the heart muscle are controlled by a specialized group of cells located in the:

• A. Lungs
• B. Brain
• C. Spinal cord
• D. Sinoatrial node (located within the heart)

Correct answer: D

Rationale: The correct answer is D: Sinoatrial node (located within the heart). The sinoatrial node, also known as the heart's natural pacemaker, is a cluster of specialized cells within the heart that controls the heart rate by initiating the electrical impulses that regulate the heart's contractions. The lungs (A), brain (B), and spinal cord (C) do not directly control the rhythmic contractions of the heart muscle. Therefore, the sinoatrial node is the specific anatomical location responsible for regulating the heart's rhythmic contractions, making it the correct answer.

4. Two experiments investigating the same phenomenon produce conflicting results. What is the most appropriate next step?

• A. Ignore the conflicting results and focus on the more convincing experiment.
• B. Conduct a combined experiment incorporating elements of both.
• C. Attack the methodology of the experiment with conflicting results.
• D. Accept the more recent experiment as definitively correct.

Correct answer: C

Rationale: When faced with conflicting results from two experiments, it is important to critically evaluate the methodology of both experiments. By examining the experimental design, variables controlled for, sample sizes, and potential sources of bias, one can better understand the reasons behind the discrepancies. Attacking the methodology of the experiment with conflicting results can help identify potential flaws or limitations that may explain the differences in outcomes. This approach allows for a more informed decision on how to proceed, rather than simply ignoring or accepting one set of results over the other.

5. Sunscreen protects the skin from harmful ultraviolet (UV) rays by

• A. Reflecting UV rays away from the skin
• B. Absorbing UV rays and converting them to heat
• C. Blocking UV rays completely
• D. Stimulating melanin production

Correct answer: B

Rationale: The correct answer is B: Absorbing UV rays and converting them to heat. Sunscreen contains ingredients that act as filters to absorb UV radiation before it reaches the skin. These filters then convert the UV rays into a less harmful form of energy, usually heat, which is then released from the body. This process helps prevent UV radiation from damaging the skin cells and causing sunburn or long-term skin damage. Reflecting UV rays away from the skin (A) and blocking UV rays completely (C) are not accurate functions of sunscreen. Additionally, stimulating melanin production (D) is not a direct way in which sunscreen protects the skin from UV rays.

6. Which of the following is NOT a common symptom of pregnancy?

• A. Fatigue
• B. Nausea
• C. Increased urination
• D. Loss of appetite

Correct answer: D

Rationale: The correct answer is D: "Loss of appetite." While it is common for pregnant individuals to experience fatigue, nausea, and increased urination due to hormonal changes and the body's adaptations during pregnancy, a loss of appetite is not typically a common symptom. Most pregnant individuals experience increased appetite, particularly in the early stages of pregnancy. This increased appetite is often attributed to the body's need for additional nutrients to support the growing fetus. Therefore, the absence of appetite loss makes option D the correct choice in this question.

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